Individual provider Active NPI

Brian Todd Abshere, LPC

  • Counselor
  • Van Buren, AR
National Provider Identifier
1154535169
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A1504060 Issued in AR
Practice address
2705A Oak LN
Van Buren, AR 72956
Phone
(479) 474-8084
Fax
(479) 474-8085
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X A1504060 AR Primary

Addresses

Primary practice location

2705A Oak LN
Van Buren, AR 72956

Mailing address

2705A Oak LN
Van Buren, AR 72956-4816
Phone (479) 474-8084

Other practice location 1

2711 Oak Ln Ste 2
Van Buren, AR 72956-4843
Phone (479) 471-6892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416000141 AR Practitioner - Mental Health Counselor 8921523671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheryl Edwards Preferred Counseling PAGroup PAC ID 7012431455, 4 clinicians

Practice addresses (Care Compare)

4611 Rogers Ave
Suite 200
Fort Smith, AR 72903-3137
Phone (479) 709-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1504060ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Edwards Preferred Counseling, P.a. CurrentSince Feb 12, 2025 Accepting new patients
Paul Rust Inc. PastSince Feb 12, 2025 Accepting new patients

Locations

4611 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 322-9273

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1154535169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705A OAK LN",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564816",
            "telephone_number": "479-474-8084",
            "fax_number": "479-474-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705A OAK LN",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "72956",
            "telephone_number": "479-474-8084",
            "fax_number": "479-474-8085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Oak Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729564843",
            "country_code": "US",
            "telephone_number": "479-471-6892",
            "fax_number": "479-471-6859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABSHERE",
        "first_name": "BRIAN",
        "middle_name": "TODD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A1504060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.